To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Standard Agreement (Amendment) #29-772-53 with the State of California, Department of Health Care Services
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Standard Agreement (Amendment) #29-772-53 (State #04-36067, A-37) with the State of California, Department of Health Care Services (DHCS), to amend Agreement #29-772-13 (as amended by subsequent amendments #29-772-14 through #29-772-52), to add new language and modify existing language, for subcontract network certification, reporting requirements, community health care workers services, cognitive health, grievance and appeals, and asthma preventive services, with no change in the original amount payable of up to $317,472,000 or term of April 1, 2005 to December 31, 2023.
FISCAL IMPACT:
There is no change to the original amount payable to County for the Medi-Cal Managed Care Local Initiative Project. No County match required.
BACKGROUND:
The State has been contracting with the Health Services Department’s Contra Costa Health Plan to provide health care services to eligible Medi-Cal recipients within the scope of Medi-Cal benefits under the Medi-Cal Local Initiative Health Plan since February 1, 1997.
On April 26, 2005, the Board of Supervisors approved Standard Agreement #29-772-13 with the State of California, DHCS, for the Medi-Cal Local Initiative Health Plan, for the period from April 1, 2005 through December 31, 2008. Subsequent amendments #29-772-14 through #29-772-52 have been issued by DHCS to amend Standard Agreement #29-772-13 to extend the term through December 31, 2023, add funds, adjust capitation rates and modify language.
Approval of this Standard Agreement (Amendment) #29-772-53 will add new language and modify existing language for subcontract network certification, reporting requirements, community health care workers services, cognitive health, grievance and appeals, and asthma preventive services, with no change in the original amount payable of up to $317,472,000 or term of April 1, 2005 to December 31, 2023.
CONSEQUENCE OF NEGATIVE ACTION:
If this amendment is not approved, the County will not be able to continue the Medi-Cal Managed Care Local Initiative Project.
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I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. |
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ATTESTED: |
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Monica Nino, County Administrator and Clerk of the Board of Supervisors |
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By: |